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    v1.0.28
    OpenPayerNPI Medicare & MedicaidWilliam Newell
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    William Newell — Billing Profile & Reimbursement Data

    NPI 1992971055 · Newark, DE · Physical Medicine & Rehabilitation Physician

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    William Newell is a physical medicine & rehabilitation physician provider located in Newark, Delaware. This profile covers 24 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationWilliam Newell
    Address4102 Ogletown Stanton Rd Ste B
    CityNewark
    StateDE
    ZIP19713
    TaxonomyPhysical Medicine & Rehabilitation Physician
    NPI EnumeratedMay 7, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$198.9K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…580$70$39.6K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…260$120$31.1K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).310$100$31.1K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…240$100$22.6K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.80$200$15K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…120$80$9.2K
    64479This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either cervical or thoracic).70$110$7.6K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…70$100$7.2K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…200$30$6.1K
    64494In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that…60$60$3.5K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    644831240170$220$62.4K
    992146861,830150$80$25.5K
    64635103050$390$24.8K
    62323104060$180$20.4K
    64493194060$200$19K
    992131631,810120$60$13.6K
    6447941050$220$13K
    2061011512060$50$12.4K
    6463381020$430$12.2K
    9921542057040$120$11K

    Showing 1–10 of 24

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with William Newell, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    First State Orthopaedics, PADEOrthopaedic Surgery Physician$0$6M
    First State Orthopaedics PADEOrthopaedic Surgery Physician$0$1.5M
    Callaway Franceschini LLCDEPhysical Therapist$0$881.4K
    Anush ParikhDEDiagnostic Radiology Physician$651.5K$0
    Joseph FarrellDEOrthopaedic Surgery Physician$576.7K$0
    Leonidas RaisisDEOrthopaedic Surgery Physician$575.8K$0
    Jeremie AxeDEOrthopaedic Surgery Physician$542.8K$0
    Stephen ManifoldDEOrthopaedic Surgery Physician$488.7K$0
    Gita PillaiDEOrthopaedic Surgery Physician$439.5K$0
    Dale SutherlandDEAnesthesiology Physician$431.5K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Delaware Distribution
    William Newell — 1 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware